IMPACT OF PRIMARY CARE TRANSFORMATION IN PRACTICE: A POLICY ANALYSIS OF STATE INNOVATION MODELS
Date
2015-05
Authors
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Publisher
University of Delaware
Abstract
Primary care physicians face challenges with health care delivery,
coordination, and cost. These challenges translate into barriers to the access of quality
care. For these challenges to be overcome, the current U.S. health care system requires
innovative redesign with a new, comprehensive foundation to establish a capable
primary care delivery model. However, this type of innovative redesign and
transformation of the U.S. health system must be able to meet the needs of an everchanging
patient population and emerging community needs of a longer and sicker
living population faced with more chronic health conditions that require team-based
care coordination and care management.
This paper will focus on analyzing several policy alternatives that aim to
enable primary care transformation by evaluating the effectiveness, efficiency, and
equity of these proposed models of health care payment and delivery. Ultimately, the
purpose of this paper is to make policy recommendations to relevant stakeholders
regarding how to address this policy problem by using these state models of
innovative delivery and payment systems as a framework. By analyzing the current
health care reforms and two state innovation models, it was determined that although
there is no single perfect fit between any of the three policies analyzed, aspects of each
alternative that addressed rural health care redesign, health information access, and
value-based payment systems will help to improve the access to, engagement with,
and quality of health care for all Americans.
Description
Keywords
Public Policy, primary care